Follow Up Specialist

Signature Performance, Inc.•,

About The Position

The Follow Up Specialist is responsible for timely, accurate follow-up on outstanding insurance claims to support prompt reimbursement. The role analyzes account activity, investigates denied or unpaid claims, and works with insurance payers and internal departments to resolve issues and expedite payment. The specialist reviews Explanation of Benefits (EOBs) and remittance advice, contacts insurers, identifies and appeals denied or underpaid claims, and collaborates with billing, coding, and clinical staff to secure needed documentation. The role also maintains clear account notes, monitors aging reports, prioritizes work according to payer deadlines and account balances, follows applicable regulations and payer policies, and meets individual and team productivity and quality standards. Participation in meetings, training, and quality improvement initiatives is also expected. The organization describes its mission as lowering healthcare administrative costs for federal government agencies, payers, and providers, and improving clients’ business health. Its stated values are passion, courage, integrity, and respect. The position requires U.S. citizenship or naturalized citizenship, and all work must be completed in the continental United States, Alaska, or Hawaii. Interviews require the candidate’s camera to be enabled and may be recorded, subject to the process described in the posting.

Requirements

High school diploma or equivalent required.
At least 2 years of experience in medical billing, insurance follow-up, or revenue cycle operations.
Knowledge of insurance payer requirements, CPT/ICD coding, and medical terminology.
Strong understanding of healthcare claim submission and adjudication processes.
Experience with electronic health records (EHRs) and billing systems, such as Epic, Meditech, or Artiva.
Excellent verbal and written communication skills.
Ability to work independently, manage time effectively, and handle multiple priorities.
Strong analytical and problem-solving skills.
U.S. citizenship or naturalized citizenship.
All work must be completed in the continental United States, Alaska, or Hawaii.
Candidates must participate in interviews with their camera enabled; interviews may be recorded as described in the posting.

Nice To Haves

Associate's degree in healthcare or business.
Bilingual in English and Spanish.

Responsibilities

Follow up on assigned insurance claims to ensure timely and accurate payment.
Review Explanation of Benefits (EOBs) and remittance advice for payment accuracy and claim status.
Contact insurance companies by phone, web portals, or written communication to resolve claim issues.
Identify and appeal denied or underpaid claims based on payer guidelines and documentation.
Collaborate with billing, coding, and clinical staff to obtain documentation needed to resolve claims.
Update patient account notes in the billing system with clear and concise follow-up actions and outcomes.
Monitor aging reports and prioritize work based on payer deadlines and account balance.
Ensure compliance with federal, state, and payer-specific regulations and policies.
Meet individual and team performance goals, including productivity and quality standards.
Participate in departmental meetings, training sessions, and quality improvement initiatives as required.